Dr. Anthony Yeung discusses the need for quality training of pain physicians who perform spinal surgery. He also talks about the different innate mindsets of physicians and surgeons, and why it is imperative to keep egos in check when working together to alleviate patients’ pain. Dr. Yeung highlights the clinical reasons for Failed Back Surgery Syndrome (FBSS) and why endoscopic surgery is a less invasive alternative with higher success rates. He concludes his presentation by reinforcing the need for all physicians to practice evidence based medicine.